ࡱ> egdY :Vbjbj[[ pt9 \9 \!2nnnnn$P$24eL($ )En)nnnnnx0&!&!&!n@))&!> 4: 0K KHAI TI SN, THU NHP NM:& & I. THNG TIN CHUNG 1. Ngi k khai ti sn, thu nhp - H v tn: & & & & & & & & & & & & & & & & & & & & & .. Nm sinh: & & & & - Chc v/chc danh cng tc: & & & & & & & & & & & & & & & & & & & & & & - C quan/n v cng tc: & & & & & & & & & & & & & & & & & & & & & & & & - H khu thng tr: & & & & & & & & & & & & & & & & & & & & & & & & & & - Ch  hin ti: & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. 2. V hoc chng ca ngi k khai ti sn, thu nhp - H v tn: & & & & & & & & & & & & & & & & & & & & & .. Nm sinh: & & & & - Chc v/chc danh cng tc: & & & & & & & & & & & & & & & & & & & & & & - C quan/n v cng tc: & & & & & & & & & & & & & & & & & & & & & & & & - H khu thng tr: & & & & & & & & & & & & & & & & & & & & & & & & & & - Ch  hin ti: & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. 3. Con cha thnh nin ca ngi k khai ti sn, thu nhp a) Con th nht: - H v tn: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & - Ngy, thng, nm sinh: & & & & & & & & & & & & & & & & & & & & & & & & & - H khu thng tr: & & & & & & & & & & & & & & & & & & & & & & & & & & . - Ch  hin ti: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & b) Con th hai (tr ln): (k khai nh con th nht) II. THNG TIN M T V TI SN 1. Nh , cng trnh xy dng: (Ngi k khai t m t cc loi nh, cng trnh xy dng khc do bn thn, v hoc chng, con cha thnh nin s hu hoc s hu mt phn). a) Nh : - Nh th 1: (a ch ti: & & & & & & & & & & & & & & & & & & & & & & & & & ) + Loi nh: & & & & & & & & & & & & & & . Cp cng trnh & & & & & & & & & & + Din tch xy dng: & & & & & & & & & & & & & & & & & & & & & & & & & & & + Gi tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. + Giy chng nhn quyn s hu: & & & & & & & & & & & & & & & & & & & & & + Thng tin khc (nu c): & & & & & & & & & & & & & & & & & & & & & & & & & - Nh th 2 (Tr ln): K khai tng t nh nh th nht b) Cng trnh xy dng khc: - Cng trnh th 1: (a ch ti: & & & & & & & & & & & & & & & & & & & & & & & + Loi cng trnh & & & & & & & & & & ..& & & Cp cng trnh & & & & & & & & + Din tch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & + Gi tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & + Giy chng nhn quyn s hu: & & & & & & & & & & & & & & & & & & & & . + Thng tin khc (nu c): & & & & & & & & & & & & & & & & & & & & & & & & - Cng trnh th 2 (Tr ln): K khai tng t nh cng trnh th nht. 2. Quyn s dng t: (Ngi k khai t m t cc loi t do bn thn, v hoc chng, con cha thnh nin c quyn s dng ton b hoc mt phn). a) t : - Mnh th nht: (Ghi theo tng l, khonh, khun vin). + a ch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . + Din tch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . + Gi tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & + Giy chng nhn quyn s dng: & & & & & & & & & & & & & & & & & & & & + Thng tin khc (nu c): & & & & & & & & & & & & & & & & & & & & & & & & - Mnh th 2: (M t nh mnh th nht). b) Cc loi t khc: (Ghi theo tng l, khonh, khun vin). - Mnh th nht: (Ghi theo tng l, khonh, khun vin). + a ch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . + Din tch: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & . + Gi tr: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & + Giy chng nhn quyn s dng: & & & & & & & & & & & & & & & & & & & & + Thng tin khc (nu c): & & & & & & & & & & & & & & & & & & & & & & & & - Mnh th 2: (M t nh mnh th nht). 3. Tin: Tin mt, tin cho vay, tin gi cc c nhn, t chc trong nc, nc ngoi m tng gi tr quy i t 50 triu ng tr ln. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 4. t, m t, xe gn my, xe my (my i, my xc, cc loi xe my khc), tu thy, tu bay, thuyn v nhng bt ng sn khc m nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k) c gi tr t 50 triu ng tr ln. - t - M t - Xe gn my - Xe my (mu i, my xc, cc loi xe my khc) - Tu thy - Tu bay - Thuyn - Nhng bt ng sn khc m nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k). 5. Kim loi qu,  qu, c phiu, vn gp vo cc c s kinh doanh, cc loi giy t c gi tr chuyn nhng khc c gi tr t 50 triu ng tr ln. - Kim loi qu -  qu - C phiu - Vn gp vo cc c s kinh doanh - Cc loi giy t c gi tr chuyn nhng khc ................................................................................................................................................................. .................................................................................................................................................................................................................................................................................................................................. 6. Cc ti sn khc m gi tr quy i mi loi t 50 triu ng tr ln (nh cy cnh, b bn gh, tranh, nh,  m ngh v cc loi ti sn khc). ..........................................................................................................2@BDh0h $ F L N p x (!"""*"0""">#####$b$% %%&%%%%%(ԸԸ԰԰԰Ԩ԰԰԰Ԡhr&hr&mHsHh hr&mHsHh[pmHsHh=mHsHhSmHsHhr&mHsHh h=6]mHsHh h=5\mHsHh h=mHsH h=5\h`emH sH h= h`e5h h=504Dj L  R  n2 x[$`gd=x[$\$`gd= x\$`gd`e $x\$a$gd`e2FJ&`Hf^ d<x[$\$`gd=*4Zj ""*"D"""""# %(%:%P%x[$\$`gdr& x[$\$gdr& x[$\$gd=x[$\$`gd=P%%%&',)p689t<=>BA@DFF.GHG\GG$x$If[$a$gd= x[$`gd= x[$\$gd}1 x[$\$gdr&x[$\$`gd=(,)*69FF,G.GFGHGZG\GGG HHHHHHHHIIDIFInIJ&J(J@JBJrJtJJKKKKLJMMMM NNN.NNNNOOOO h9h*]hr&h*]mHsHh*]h h*]mHsHh*]mHsHh}1 h9h=h=h9h=5\h.h=5\h.h=5h}1mHsHUhr&mHsHh*]hr&6mHsH7....................................................... .................................................................................................................................................................................................................................................................................................................................. 7. Ti sn, ti khon  nc ngoi gm tt c ti sn quy nh t Khon 1 n Khon 6 ni trn nm ngoi lnh th Vit Nam. .................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................................................. 8. Cc khon n gm: Cc khon phi tr, gi tr cc ti sn qun l h, gi h c tng gi tr quy i t 50 triu ng tr ln. .................................................................................................................................................................................................................................................................................................................................. .................................................................................................................................................................9. Tng thu nhp trong nm quy i thnh tin Vit Nam gm cc khon lng, ph cp, tr cp, thng, th lao, cho, tng, biu, tha k, thu nhp hng li t cc khon u t, pht minh, sng ch, cc khon thu nhp khc .................................................................................................................................................................................................................................................................................................................................. III. GII TRNH S BIN NG CA TI SN, THU NHP Loi ti snTng/gimNi dung gii trnh ngun gc ti sn, thu nhp tng thm1. Nh , cng trnh xy dng (tng, gim v s lng, din tch hoc thay i v cp nh, cng trnh so vi thi k k khai trc ):a) Nh :b) Cng trnh xy dng khc:2. Quyn s dng t (tng, gim v s lng, din tch, thay i laoij t so vi thi k k khai trc ):a) t :b) Cc loi t khc:3. Tin mt (tin Vit Nam, ngoi t) gm tin mt, tin cho vay, tin gi c nhn, t chc trong nc, t chc nc ngoi ti Vit Nam m tng gi tr quy i t 50 triu ng tr ln.4. Cc loi ng sn - t - M t - xe gn my - Xe my (mu i, my xc, cc loi xe my khc) - tu thy - Tu bay - Thuyn - Nhng bt ng sn khc m nh nc qun l (theo quy nh ca php lut phi ng k s dng v c cp giy ng k). 5. Cc loi ti sn: - Kim loi qu -  qu - C phiu - Vn gp vo cc c s kinh doanh - Cc loi giy t c gi tr chuyn nhng khc 6. Cc ti sn khc m gi tr quy i mi loi t 50 triu ng tr ln (nh cy cnh, b bn gh, tranh, nh,  m ngh v cc loi ti sn khc) c gi tr t 50 triu ng tr ln. 7. Ti sn, ti khon  nc ngoi gm tt c ti sn quy nh t Khon 1 n Khon 6 ni trn nm ngoi lnh th Vit Nam. 8. Cc khon n gm: Cc khon phi tr, gi tr cc ti sn qun l h, gi h c tng gi tr quy i t 50 triu ng tr ln. 9. Tng thu nhp trong nm quy i thnh tin Vit Nam(Ngi k khai t xc nh cc loi ti sn tng, gim trong k k khai v gii trnh ngun gc ti sn tng thm). Ngy nhn bn k khai ti sn, thu nhp & & ngy & & .. thng & & nm & & Ngi nhn bn k khai (K, ghi r h tn, chc v/chc danh)Ngy hon thnh k khai ti sn, thu nhp & & ngy & & .. thng & & nm & & Ngi k khai ti sn (K, ghi r h tn)     PAGE  PAGE 3 PAGE 5 GGHHH}} x$If[$gd= x$If[$^ `gd}1`kd$$IfF%V  t&6    4aHHIII}} x$If[$gd= x$If[$^ `gd=`kd$$IfF%V  t&6    4aII@IBIDI}} x$If[$gd= x$If[$^ `gd=`kd:$$IfF%V  t&6    4aDIFI"J$J&J}} x$If[$gd= x$If[$^ `gd}1`kd$$IfF%V  t&6    4a&J(JJ@J}} x$If[$gd= x$If[$^ `gd=`kd$$IfF%V  t&6    4a@JBJnJpJrJ}} x$If[$gd= x$If[$^ `gd=`kd2$$IfF%V  t&6    4arJtJKKK}} x$If[$gd= x$If[$^ `gd}1`kd$$IfF%V  t&6    4aKKL&L6LPLLLLLMN0NBNwwwwwwwwwwx$If[$\$gd*] x$If[$^ `gd}1ckd$$IfF%V  t&6    4ayt`e BNXNNOOOO O~PvQr]] x$If[$^ `gd=ckd"$$IfF%V  t&6    4ayt`e x$If[$gd= x$If[$gdv(x$If[$\$gd*] O OO2P|P~PRRRRSSSS0TjTTTT:UtUUUUUUUUUUUUUUUUUUVVVVVVVVV*V,V.V0V2VĽ˩˩ha[0JmHnHu h=0Jjh=0JUh7bQjh7bQUh9h=5\h9h=6] h`e6] h=6] h9h= h9hv(hv(mHsH h9h*]h*]h*]6mHsHh*]mHsHh=3vQRRRRRSTUj^NN$x$If[$a$gd= x[$`gd=ckd$$IfF%V  t&6    4ayt`e x$If[$gd= x$If[$^ `gd`ex$If[$\$gdv(UUUUUUUUUUUUUUUU &`#$gd=gd=x[$gd=Vkdp$$If0%j t622 l4aUVVVVV2V4V6V8V:V &`#$gd=h]hgd= 2V6V8V:Vh7bQh=61h/R :p=/ =!"n#n$n% 61h/R :p=/ =!"n#n$n% $$If!vh#v#vV#v :V t&6,55V5 / /  / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / / 4 $$If!vh#v#vV#v :V t&655V5 /  / / / 4 yt`e$$If!vh#v#vV#v :V t&655V5 /  / / / / 4 yt`e$$If!vh#v#vV#v :V t&655V5 /  / / / 4 yt`ed$$If!vh#vj#v:V t65j522 l4 s2&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH 0nH 0sH 0tH 0@`@ =NormalOJQJ_HmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List R^@R = Normal (Web)dd[$\$CJOJQJaJ4 @4 =Footer  !.)@. = Page NumberH"H r& Balloon TextCJOJQJ^JaJZ/1Z r&Balloon Text Char CJOJQJ^JaJmH sH tH 4B4 [pHeader  B#B/QB [p Header CharOJQJmH sH tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. 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